Claim total
$126.29
base $93.39 · payer covered $91.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1998-07-16
- Stop
- 1998-07-16
The parties
- Patient
- patient Len Wilbert Windler
- Provider
- provider Hazel Effertz
- Payer
- payer Dual Eligible
Record id
161124e8-a4e5-2a23-6c39-9969ea72176f